A simple tooth extraction costs $170 to $450 in 2026
Pearl's May 2026 figures, built on ADA fee survey data, put a simple extraction at $170 to $450 per tooth, about $260 on average. A surgical extraction, for a broken or hard to reach tooth, costs more. Most PPO plans pay 50 to 80 percent when the extraction is medically needed.
What you may pay
| Simple extraction | $170 to $450, about $260 (Pearl, May 2026). |
|---|---|
| Surgical extraction | Billed at a higher rate. |
| Bone graft to save the socket | About $680 to $1,790 more. |
| Sedation | Extra beyond numbing. |
| Wisdom teeth | See our wisdom teeth page. |
What pushes a quote up
| Simple or surgical | Cutting gum or bone costs more. |
|---|---|
| Tooth condition | A tooth that breaks during removal can become surgical. |
| Sedation | Billed on top. |
| Socket graft | Needed if you plan an implant. |
| Dentist or surgeon | General dentists often charge less. |
Tooth extraction cost by region
| Lower cost states | $135 to $350. Alabama, Arkansas, Indiana, Iowa, Kansas, Kentucky, Mississippi, Missouri, Oklahoma, Tennessee, West Virginia and most rural areas. |
|---|---|
| Average cost states | $170 to $450. Arizona, Florida, Georgia, Michigan, North Carolina, Ohio, Pennsylvania, Texas, Virginia and most mid size cities. |
| Higher cost states | $220 to $575. California, Connecticut, Hawaii, Massachusetts, New Jersey, New York, Washington, plus big metros such as Chicago, Denver and Washington DC. |
These rows are our estimate. We took the typical national range and adjusted it for local labor costs, which run about 20 percent lower in the cheapest states and about 30 percent higher in the dearest ones. Suburban and community offices often charge 15 to 30 percent less than dense metro practices.
Simple vs surgical, and what comes after
A simple extraction removes a tooth you can see above the gum using forceps. Pearl notes it usually takes 20 to 40 minutes. A surgical extraction means cutting the gum, removing bone or splitting the tooth, and it is billed higher.
Plan the replacement before the tooth comes out. If you want an implant later, a socket graft at the same visit can save a bigger graft later. Other options are a bridge or a partial denture. For impacted back teeth, see wisdom teeth removal.
How to judge the quote in your hand
- Ask simple or surgical.
- Ask the fee if it turns surgical.
- Ask about a socket graft.
- Ask which numbing is included.
- Plan the replacement first.
Ways to pay less
- Use a general dentist for simple extractions.
- Use insurance when it is medically needed.
- Treat infections early.
- Try a dental school clinic.
Before you decide
This page covers prices only. It is not medical or dental advice. Talk to a licensed provider about what treatment you need, and ask for a written estimate and your insurer's pre-authorization before you start.
What will this cost me?
Pick the job, your state's cost level and the last detail. The estimate updates as you change them.
An estimate built from published 2026 cost guides. It is not a quote. Get a written quote before work starts.
Common questions
How much does it cost to pull a tooth?
About $170 to $450 for a simple extraction, around $260 on average.
Is a surgical extraction more?
Yes, it is billed at a higher rate.
Does insurance cover extractions?
Most PPO plans pay 50 to 80 percent when medically needed.
How long is recovery?
Normal eating in about 3 to 7 days. The bone heals over 2 to 3 months.